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NHS: Belonging in White Corridors

Among the organized chaos of medical professionals in Birmingham, a young man named James Stokes carries himself with the measured poise of someone who has found his place. His oxford shoes barely make a sound as he acknowledges colleagues—some by name, others with the familiar currency of a “good morning.”

James wears his NHS lanyard not merely as institutional identification but as a testament of inclusion. It sits against a pressed shirt that gives no indication of the tumultuous journey that preceded his arrival.

What separates James from many of his colleagues is not visible on the surface. His bearing gives away nothing of the fact that he was among the first participants of the NHS Universal Family Programme—an initiative designed specifically for young people who have been through the care system.

“It felt like the NHS was putting its arm around me,” James explains, his voice steady but carrying undertones of feeling. His remark captures the essence of a programme that seeks to revolutionize how the massive healthcare system perceives care leavers—those vulnerable young people aged 16-25 who have transitioned from the care system.

The figures reveal a challenging reality. Care leavers commonly experience poorer mental health outcomes, money troubles, accommodation difficulties, and reduced scholarly attainment compared to their age-mates. Behind these cold statistics are individual journeys of young people who have navigated a system that, despite best intentions, regularly misses the mark in providing the supportive foundation that forms most young lives.

The NHS Universal Family Programme, launched in January 2023 following NHS England’s commitment to the Care Leaver Covenant, represents a significant change in systemic approach. At its heart, it recognizes that the complete state and civil society should function as a “universal family” for those who have missed out on the stability of a conventional home.

Ten pathfinder integrated care boards across England have blazed the trail, establishing systems that reconceptualize how the NHS—one of Europe’s largest employers—can open its doors to care leavers.

The Programme is detailed in its strategy, starting from comprehensive audits of existing practices, forming oversight mechanisms, and obtaining senior buy-in. It recognizes that meaningful participation requires more than noble aims—it demands tangible actions.

In NHS Birmingham and Solihull ICB, where James started his career, they’ve created a consistent support system with representatives who can deliver assistance and counsel on wellbeing, HR matters, recruitment, and inclusivity efforts.

The conventional NHS recruitment process—rigid and often daunting—has been thoughtfully adapted. Job advertisements now highlight character attributes rather than numerous requirements. Application procedures have been reimagined to accommodate the particular difficulties care leavers might encounter—from missing employment history to having limited internet access.

Possibly most crucially, the Programme understands that beginning employment can present unique challenges for care leavers who may be managing independent living without the backup of parental assistance. Matters like travel expenses, identification documents, and bank accounts—taken for granted by many—can become substantial hurdles.

The beauty of the Programme lies in its thorough planning—from explaining payslip deductions to helping with commuting costs until that essential first wage disbursement. Even ostensibly trivial elements like coffee breaks and workplace conduct are deliberately addressed.

For James, whose NHS journey has “transformed” his life, the Programme delivered more than employment. It gave him a sense of belonging—that elusive quality that emerges when someone is appreciated not despite their history but because their particular journey enriches the organization.

“Working for the NHS isn’t just about doctors and nurses,” James comments, his gaze showing the quiet pride of someone who has secured his position. “It’s about a collective of different jobs and roles, a team of people who genuinely care.”

The NHS Universal Family Programme exemplifies more than an job scheme. It exists as a bold declaration that systems can adapt to welcome those who have navigated different paths. In doing so, they not only alter individual futures but enrich themselves through the special insights that care leavers contribute.

As James moves through the hospital, his participation subtly proves that with the right help, care leavers can succeed in environments once thought inaccessible. The support that the NHS has provided through this Programme represents not charity but recognition of hidden abilities and the profound truth that each individual warrants a family that believes in them.

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